Claims Manager - Life Insurance

A rapid growing well known insurance company is seeking for a Claims Manager to assist their Senior Manager to monitor the performance to meet service turnaround and quality.

Responsibilities:

• Assist Senior Manager in day-to-day claim operations including maintenance of service standard and ensuring quality of work defined by the Company.
• Provide management information on claims experience and suggestions/executions of claims monitoring controls.
• Provide relevant experience sharing, develop and training to staffs and updates to agency.
• Assess, recommend actions, approve and processing of major and minor claims, claim payment requisition, review and issue of correspondences.
• Communicate with reinsurers, lawyers, other companies, doctors and /or investigator in connection with claim processing.
• Handle enquiries (walk-in/telephone) from agents, customers and other companies or organisation in claims matters or claim records.
• Handle customer complaints and resolve disputes.
• Assist in development, maintenance & enhancement of workflow system and Claim administration system including the user requirement write-up and user testing, arranging implementation, training and write up of procedural manual etc.
• Assist in participating in new product launch, product revamp, new distribution channel by providing claims comment such as workflow, system function and guidelines etc.
• Responsible for maintenance of administrative manuals and other information materials available on LA Portal opened to agency forces.
• Assist in preparation and verification of reinsurance recovery records with Financial Services Department according to the risk share arrangement as specified in the reinsurance treaty with different reinsurers.
• Give feedback on claims process, procedure in order to improve the efficiency and quality of claims operation.
• Participate in ad hoc assigned projects.

Requirements:

• Degree holder in any disciplines
• FLMI is an advantage but not a must
• At least 5 years of solid work experience in life administration environment with specialties in claim administration and at least 2 years of work experience in providing training and development of claims staffs
• Must possess management experience; Experience in handling printing solution/correspondence design is a plus
• Customer focus is a must with excellent service skill
• Strong interpersonal including communication at all levels of internal counterparts, agents, brokers, customers or stakeholders
• Fluent in both spoken and written English and Chinese
• Good PC skills and MS Office application